What is the hybrid approach for aortic aneurysms?

Mark J. Russo, MD
Thoracic Surgery (Cardiothoracic Vascular)
Hybrid procedures use endovascular stenting along with open surgery to take advantage of the benefits of each while minimizing the limitations and related risks.  Often, hybrid procedures can be custom designed for the patient in an effort to decrease size of the incision, duration of the procedure, and avoid the need to stop blood flow to the heart and/or brain. This is intended to improve recovery and ensure the best possible outcome for the patient.

Patients who have extensive aortic aneurysms (affecting both the ascending aorta and aortic arch, and the descending thoracic or thoracoabdominal aorta) as well as coexisting conditions such as respiratory problems may require a combination of open and minimally invasive surgery. This type of surgery is called a hybrid approach. The hybrid procedure requires surgical bypass of the critical aortic vessels, followed by the placement of a minimally invasive endovascular graft. This technique still requires some open surgery but in most cases is less invasive and stressful than the traditional open surgical techniques.

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